Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09563 | Date 30/04/2021 |
| Token No | SM/21-22/1036 30/04/2021 | Serial | 030 Last Visit: 30/04/2021 |
| Patient Name | Mrs. GOLAPI KHATUN | Contact No | 9330637148 |
| Address | BARDDHAMAN,( 23, JHAWTALA SERAMPORE) | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||